CPT® Code 21386

The procedure described by CPT® Code 21386 refers to the open treatment of an orbital floor blowout fracture using a periorbital approach. This surgical intervention is specifically designed to address an orbital floor fracture, which is a type of injury that can occur as a result of mid-facial trauma. Such fractures can lead to significant anatomical and functional defects of the eye, including the potential for extraocular muscle entrapment, which may impair eye movement. Additionally, these injuries can result in aesthetic deformities of the face. The periorbital approach involves making an incision along the lower eyelid, allowing the surgeon to access the orbital floor directly. This method is crucial for effectively repairing the fracture and restoring both the structural integrity and function of the affected area. The procedure entails careful dissection and manipulation of the surrounding tissues to ensure that any herniated orbital contents are properly managed, ultimately leading to improved outcomes for the patient.